Transcription of FOR CUSTOMER USE ONLY ( PLEASE PROVIDE REQUESTED …
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FOR CUSTOMER USE ONLY ( PLEASE PROVIDE REQUESTED …
OFFICE OF STAN STANART COUNTY CLERK, HARRIS COUNTY, TEXAS PROBATE COURTS DEPARTMENT Box 1525 Houston, TX 77251-1525 Ph. 713-274-8585 Fax 713-755- 5468 Form No. I-02-116 (Rev. 09/08/2016) FOR CUSTOMER USE only ( PLEASE print or type) Name of Cardholder: Date: Address: City: State: Zip: Phone No.: Fax No.: Email Address: PLEASE PROVIDE REQUESTED PAYMENT INFORMATION Credit Card: Visa MasterCard Discover American Exp. There is a 4% surcharge on all services REQUESTED by mail, email, phone or fax.
office of stan stanart county clerk, harris county, texas probate courts department p.o. box 1525 houston, tx 77251-1525 ph. 713-274-8585 fax 713-437-5796
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